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Late Neurovascular Compromise Secondary to a Malunited Clavicular Fracture in a Preadolescent by Sekinat Kassim, and John F. Lovejoy JBJS Case Connect Volume 2(1):e8 February 22, 2012 ©2012 by The Journal of Bone and Joint Surgery, Inc.

Late Neurovascular Compromise Secondary to a Malunited Clavicular Fracture in a Preadolescent by Sekinat Kassim, and John F. Lovejoy JBJS Case Connect

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Page 1: Late Neurovascular Compromise Secondary to a Malunited Clavicular Fracture in a Preadolescent by Sekinat Kassim, and John F. Lovejoy JBJS Case Connect

Late Neurovascular Compromise Secondary to a Malunited Clavicular Fracture in a Preadolescent

by Sekinat Kassim, and John F. Lovejoy

JBJS Case ConnectVolume 2(1):e8

February 22, 2012

©2012 by The Journal of Bone and Joint Surgery, Inc.

Page 2: Late Neurovascular Compromise Secondary to a Malunited Clavicular Fracture in a Preadolescent by Sekinat Kassim, and John F. Lovejoy JBJS Case Connect

Sekinat Kassim, and John F. Lovejoy JBJS Case Connect 2012;2:e8

©2012 by The Journal of Bone and Joint Surgery, Inc.

Page 3: Late Neurovascular Compromise Secondary to a Malunited Clavicular Fracture in a Preadolescent by Sekinat Kassim, and John F. Lovejoy JBJS Case Connect

Sekinat Kassim, and John F. Lovejoy JBJS Case Connect 2012;2:e8

©2012 by The Journal of Bone and Joint Surgery, Inc.

Page 4: Late Neurovascular Compromise Secondary to a Malunited Clavicular Fracture in a Preadolescent by Sekinat Kassim, and John F. Lovejoy JBJS Case Connect

Coronal-view CT angiogram demonstrating the compression of the subclavian artery beneath the hypertrophic mass.

Sekinat Kassim, and John F. Lovejoy JBJS Case Connect 2012;2:e8

©2012 by The Journal of Bone and Joint Surgery, Inc.

Page 5: Late Neurovascular Compromise Secondary to a Malunited Clavicular Fracture in a Preadolescent by Sekinat Kassim, and John F. Lovejoy JBJS Case Connect

The arrows on the intraoperative photograph show the medial and lateral borders of the clavicle after the hypertrophic mass resection; the inset shows 3 cm of the involved clavicle and the

adjacent hypertrophic mass after osteotomy.

Sekinat Kassim, and John F. Lovejoy JBJS Case Connect 2012;2:e8

©2012 by The Journal of Bone and Joint Surgery, Inc.

Page 6: Late Neurovascular Compromise Secondary to a Malunited Clavicular Fracture in a Preadolescent by Sekinat Kassim, and John F. Lovejoy JBJS Case Connect

Intraoperative fluoroscopic image of the reconstructed clavicle immediately postoperatively.

Sekinat Kassim, and John F. Lovejoy JBJS Case Connect 2012;2:e8

©2012 by The Journal of Bone and Joint Surgery, Inc.

Page 7: Late Neurovascular Compromise Secondary to a Malunited Clavicular Fracture in a Preadolescent by Sekinat Kassim, and John F. Lovejoy JBJS Case Connect

Anteroposterior radiograph of the left clavicle one year postoperatively, showing the well-healed fracture.

Sekinat Kassim, and John F. Lovejoy JBJS Case Connect 2012;2:e8

©2012 by The Journal of Bone and Joint Surgery, Inc.